Individual provider Active NPI

Elizabeth V Durham, P.T.

  • Physical Therapist
  • Belfast, ME
National Provider Identifier
1346367349
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1746 Issued in ME
Practice address
1 Parkside LN
Belfast, ME 04915-6076
Phone
(207) 323-1021
NPI assigned
Mar 23, 2007
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1746 ME Primary

Addresses

Primary practice location

1 Parkside LN
Belfast, ME 04915-6076

Mailing address

1 Parkside LN
Belfast, ME 04915-6076
Phone (207) 323-1021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210219000756 ME Practitioner - Physical Therapist in Private Practice 1759796154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Outpatient Physical Therapy Services, LLCGroup PAC ID 3678929288, 7 clinicians
Greater Brunswick Physical Therapy PAGroup PAC ID 8426019621, 17 clinicians

Practice addresses (Care Compare)

24 Martin LN
Belfast, ME 04915-6099
Phone (207) 447-0780

27 Cross St
Belfast, ME 04915-6829
Phone (207) 338-3955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Brunswick Physical Therapy P.a. Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Magnolia Outpatient Physical Therapy Services, LLC Physical Therapist CurrentSince Oct 10, 2023 Accepting new patients

Locations

34 Martin Ln
Belfast, ME 04915
Phone (207) 338-4117

42 Bucksport Rd
Ellsworth, ME 04605
Phone (207) 573-1609

11 Ocean St
Jonesport, ME 04649
Phone (207) 497-2363

11 Bowdoin Mill Is
Ste 260
Topsham, ME 04086
Phone (207) 729-1164

2500 Dallas Pkwy
Ste 410
Plano, TX 75093
Phone (940) 783-2760

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1346367349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARKSIDE LN",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156076",
            "telephone_number": "207-323-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARKSIDE LN",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156076",
            "telephone_number": "207-323-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "ELIZABETH",
        "middle_name": "V",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.